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Facing a growing patient population, a projected physician shortage, increasingly long wait times and a transition to value-based reimbursement, healthcare providers must consider a more effective use of frontline clinical staff as a key to surviving and thriving in today’s healthcare industry. Examine how PAs and NPs can contribute to reduced patient wait times, improved patient access, and other patient-centered initiatives. It is designed to illuminate how the use of advanced practice providers can help organizations maximize revenue while reducing risk.

Objectives:

Describe 4 areas that PAs and NPs can impact organizational strategy.

Provide examples of how effective PA/NP utilization can maximize revenue and minimize risk.

Identify aspects of the revenue cycle management process, such as payer contracts and billing policies, that will maximize PA/NP revenue.

Assess your current EHR system for pitfalls that may prevent optimal utilization, efficient work flow, or appropriate billing.

Bianca Belcher, PA-C, MPH, is the National Director of Bundled Payments for Steward Health Care Network and a consultant for CHLM. While previously serving as a PA at Brigham & Women’s Hospital in Boston, she also holds academic positions at Harvard Medical School, Northeastern University, and Massachusetts General Hospital Institute for Health Professions.

Michael Powe is Vice President of Reimbursement and Professional Advocacy for the American Academy of PAs. He addresses issues surrounding healthcare policy, private third party payment concerns, the Medicare and Medicaid programs, and various state and federal regulatory agencies. He has been with AAPA for over 20 years.